Permit BUILDING PERMIT
r SIN OF T DATE 09/2PU9 -0506
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 PARCEL: 25 102CC -01000
SITE ADDRESS...: 13660 SW PACIFIC HWY #2
SUBDIVISION • Fop ZONING:C —G
BLOCK • LOT pj
REISSUE: FLOOR AREAS - - - -- EXTERIOR WALL CONSTRUCTION —
CLASS OF WORK.:OTR FIRST 0 sf N: S: E: W:
TYPE OF USE...:MF SECOND...: 0 sf PROTECT OPENINGS?
TYPE OF CONST.:5N ...: 0 sf N: S: E: W:
OCCUPANCY GRP.:R1 TOTAL 0 sf ROOF CONST: FIRE RET ?:
OCCUPANCY LOAD: 0 BASEMENT.: 0 sf AREA SEP. RATED:
STOR.: 0 HT: 0 ft GARAGE...: 0 sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED - - -•
FLOOR LOAD 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET.. :
DWELLING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM: HNDICP ACC:
BEDRMS: 0 BATHS: 0 IMP SURFACE: 0 PRO CORR: PARKING: 0
VALUE. $ : 12300
Remarks: RE —ROOF
Owner : -- FEES --
NORRIS & STEVENS type amount by date recpt
520 SW 6TH #400 PLCK $ 64.03 JDA 09/12/96 96- 283893
PRMT $ 98.50 B 09/25/96 96- 284368
PORTLAND OR 97204 SPCT $ 4.93 B 09/25/96 96- 284368
Phone #: 223 -3171
Contractor: —
GRIFFITH ROOFING
6815 SW 111TH AVE
BEAVERTON OR 97005 - -- - - --
Phone #: 643 -1596 $ 167.46 TOTAL
Reg #..: 000925
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
applicable laws. All work will be done in accordance with Ponding before t
approved plans. This permit will expire if work is not started Dryrot after tea
within 180 days of issuance, or if work is suspended for more
than 180 days.
Permittee Sigr at;_ure: �
Issued By: ,r� 1----' I Call for inspection — 639 -4175
T PF /'4-11 '
Commercial Building Permit Application
•City - Tiga �
13125 SW Hall Blvd. if 1
• Tigard, OR 97223 )j ( I c.
(503) 639 -4171 / 411
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Jobsite Address: 13(I O S J P Ar.�F I C Nw T ►GAR►
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Tenant:F1R V11.LflGE APTS. Suite #
Valuation: Ia , ,:,:::::.'.•
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Owner: o l
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Address:
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Contractor:
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Address:
ress: 10615 SW I11Tt - 1 AV ENLIE
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Occupancy of nst: class:
Phone: (Sc 1n4 - 15910
Sprink lered? Yes No
Contractors
License # (DD a 5
(attach copy of current Oregon license) Sq. ft of proj 39 s ay .
Contact name phone: C µt l CK BRRNI1Rvv Story (1st, 2nd, etc.)
Proposed use:
Architect/Engineer: N R
Previous use:
Address:
Note: Plumbing & m echanical plans
must be sub at time o
Phone:
f
building permi application.
JOB DESCRIPTION: "1 F AR- Ot F� g 145 E., ' Ja il F IRERAnAin 3 PL'y) C.A (MALA RKI =.�(
�P�C�1c -CLASS A> SEE ATt" Ar14 FI\>
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Applicant Signature & Phone number
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Received by: �1,��/)/l�fr Date Received: �b
Permit # Account Description Amount Amt. Pd. Bal. Due
Bldg. Permit (BUILD) V ' I�5 , SO •
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX) `� y (
Bldg:
Plumb:
Mech:
Plan Check (PLANCK) (0 I • D (8 4.O3
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF -R)
Mass Transit TIF (TIF -MT)
Commercial TIF (TIF -C)
Industrial TIF (TIF -1)
Institutional TIF (TIF -IS)
Office TIF (TIF -0)
Water Quality (WQUAL)
Water Quantity (WQUANT)
Fire Life Safety (FLS)
Erosion Cntrl Permit (ERPRMT)
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
TOTALS: ( (01 • `IG ) I V®
6 la .,u Taff (• 1 r - - a v
CITY OF TIGARD BUILDING INSPECTION NOTICE L,
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer / Gas Line / Appr /Sdwlk Reins.
Ca
Other: o / - 44 - 7 , /
Date: // At/ I A.M. P.M. Entry:
Address: / '' y -
Tenant: S MST:
BUP:
Con /Own: f ¶ 1 /3- I G MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
p o Oo7, e c-et 5" t
AO a fro f 4CC e sS
Inspector: Date: err*
_APPROVED AP ROVED /CALL FOR REINSP. CF C